Intraventricular hemorrhage in the neonate born at term
P. A. Palma, M. E. Miner, F. H. Morriss Jr, E. W. Adcock 3rd and S. E. Denson
Four term infants were found by computerized cerebral tomography (CT) to
have intraventricular hemorrhage. All were male infants who had experienced
substantial intrapartum complications. One infant had subtle clinical signs
at 2 days of age; the others had major neurologic findings including
seizures and ophthalmoplegia that occurred at 1, 4, and 6 weeks of age,
respectively. Three infants in whom the hemorrhages were indistinguishable
by CT from those described in preterm infants now have arrested
hydrocephalus and normal development. The fourth infant was found to have a
large glioblastoma at the site of origin of his initial hemorrhage. These
cases emphasize the need to consider this diagnosis in neonates born at
term who have abnormal neurologic signs.
